Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Grand Rapids, MI: $56.03

Avg. Paid

$56.03

Range

$0.00 – $695.81

Total Claims

3,306,257

Providers

314

Typical Payment Range

Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.

Based on per-provider averages across all Medicaid claims in this category.

A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Office Visit in Grand Rapids, MI

Provider	Avg. Paid	Claims	Patients
Spectrum Health Primary Care Partners 1840 Wealthy St Se	$63.48	1,269,797	1,180,756
Spectrum Health Primary Care Partners 80 68Th St Se	$54.84	235,180	226,086
Spectrum Health Hospitals 100 Michigan St Ne	$48.58	199,275	183,355
Advantage Health/Saint Mary'S Medical Group 245 State St Se	$52.36	186,419	177,180
Advantage Health Saint Mary'S Medical Group 200 Jefferson Se	$51.94	181,819	169,060
Cherry Street Services, Inc. 100 Cherry St Se	$5.40	123,848	114,204
Cherry Street Services, Inc. 550 Cherry St Se	$38.08	74,438	70,606
Pine Rest Christian Mental Health Services 300 68Th St Se	$56.61	62,960	60,293
Michigan Pain Consultants Pc 2060 East Paris Ave Se	$43.21	57,946	55,975
Cancer & Hematology Centers Of Western Mi, P.C. 145 Michigan St Ne Ste 3100	$56.87	50,954	46,946
Cherry Street Services, Inc. 669 Stocking Ave Nw	$5.02	44,113	40,109
Mercy Health Urgent Care 3100 Plainfield Ave Ne	$54.58	40,526	39,094
Orthopaedic Associates Of Grand Rapids, Pc 1111 Leffingwell Ave Ne	$48.91	39,268	37,800
Kent County Cmh Authority 790 Fuller Ave Ne	$224.11	37,427	36,552
Shruti Javali 300 Lafayette Ave Se	$0.22	36,648	23,538
Blue Sky Vision Eye Care, P.C 750 East Beltline Ne	$50.16	30,591	29,264
Psoriasis And Eczema Treatment Center Of Western Michigan Pllc 833 Michigan St Ne	$51.06	30,440	30,092
Mary Free Bed Rehabilitation Hospital 235 Wealthy St Se	$53.16	27,280	26,550
Patient One Care, Pllc 1740 28Th St Se	$66.58	27,043	26,058
Michigan Institute Of Urology Pc 25 Michigan St Ne	$55.39	18,270	17,969
Forefront Dermatology, S.C. 2525 E Paris Ave Se Ste 100	$64.07	17,661	17,274
Kent County Cmh Authority 790 Fuller Ave Ne	$33.61	16,394	15,365
Citypulse Urgent Care Pllc 6460 28Th St Se	$81.85	16,109	15,141
Ecs Western Michigan Pc 100 Michigan St Ne	$40.31	14,789	14,380
Trinity Health - Michigan 730 Grandville Ave Sw	$2.71	14,231	13,111
Family Health Partners Pc 2335 Burton St Se Ste 130	$63.65	14,046	11,444
Alger Pediatrics Pc 733 Alger St Se	$56.96	13,358	12,282
Catherine'S Health Center 1211 Lafayette Ave Ne	$1.33	12,422	11,747
Javery Pain Institute Pc 710 Kenmoor Ave Se	$38.48	12,236	11,950
Wedgwood Christian Services 3300 36Th St Se	$63.74	12,178	10,219
Midwest Institute Of Health Pc 2060 E Paris Ave Se	$63.69	11,357	10,868
Jonathan P Corley 4100 Embassy Dr Se	$71.49	11,038	9,873
Trinity Health - Michigan 359 S Division Ave	$2.05	10,738	9,681
Foot & Ankle Specialists Of West Michigan P L L C 2144 E Paris Se	$41.91	10,579	9,922
Metropolitan Hospital 4055 Cascade Rd Se	$47.92	9,877	9,581
Grand Rapids Womens Health Pc 555 Midtowne Ne	$46.34	9,198	8,611
Salvation Army Turning Point Programs 1215 Fulton St E	$100.32	9,099	4,933
Renal Associates Of West Michigan Pc 330 E Beltline Ave Ne	$43.08	9,057	8,761
Internal Medicine And Pediatrics Of West Michigan 655 Kenmoor Ave Se	$71.09	8,786	8,257
Forest Hills Pediatric Associates, Pc 877 Forest Hill Ave Se	$70.95	8,714	8,011
Trinity Health-Michigan 1246 Madison Ave Se	$1.89	8,487	7,831
Arbor Circle Corporation 1115 Ball Ave Ne	$130.94	8,194	7,123
West Michigan Cardiology, Pc 3210 Eagle Run Dr Ne Ste 100	$49.03	7,567	7,344
Elite Spine And Musculoskeletal Center Pllc 3351 Eagle Run Dr Ne	$56.38	7,496	6,891
Spectrum Health Primary Care Partners 4100 Lake Dr Se	$55.39	7,424	7,366
Pine Rest Christian Mental Health Services 320 Commerce Ave Sw	$287.26	7,006	6,892
Grand Valley Medical Specialists Plc 1000 East Paris Ave Se Ste 100	$57.89	6,963	6,531
Joseph O'Hara Niezer 2750 E Beltline Ave Ne Fl 3	$52.03	6,205	4,624
D A Blodgett-St Johns 2172 Dean Lake Ave Ne	$79.79	6,012	5,781
Kyle Steven Wesley Slone 100 Michigan St Ne	$44.80	6,001	5,512

What to Expect: Office Visit

A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code	Description	Avg. Paid	Claims	Providers
99213	Office visit established mod	$43.18	764,306,590	487,602
99214	Office visit established mod-hi	$59.53	502,480,931	466,856
99212	Office visit established low	$41.69	92,299,154	127,462
99203	Office visit new moderate	$67.55	47,756,882	127,334
99211	Office visit established minor	$39.24	44,127,221	47,748
99204	Office visit new moderate-high	$92.03	32,379,031	111,937
99215	Office visit established high	$93.58	29,619,773	74,725
99202	Office visit new low	$58.57	9,372,712	35,486
99205	Office visit new high	$136.10	3,665,382	19,737
99244	Office consultation mod-high	$118.25	3,405,681	11,884
99243	Office consultation moderate	$78.55	2,585,480	8,432
99245	Office consultation high	$132.29	645,300	3,046
99242	Office consultation low	$58.27	483,445	1,980
99241	Office consultation brief	$66.15	295,664	712

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Office Visit cost in Grand Rapids, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grand Rapids, MI is $56.03 per claim, based on 3,306,257 claims from 314 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Office Visit in Grand Rapids, MI?

There are 314 Medicaid providers offering Office Visit related services in Grand Rapids, MI according to public payment data.

What is the price range for Office Visit in Grand Rapids, MI?

Medicaid reimbursement for Office Visit in Grand Rapids, MI ranges from $0.00 to $695.81 per claim, with an average of $56.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Grand Rapids, MI: $56.03

Providers Offering Office Visit in Grand Rapids, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Grand Rapids, MI

Blood Work & Lab Tests

Substance Abuse Treatment

X-Ray

Emergency Room Visit

Psychiatric Evaluation

Physical Therapy

Vaccines & Immunizations

CT Scan (Computed Tomography)